MR. CORY A TEPUS – Gerontology Nurse Practitioner, NPI 1962101980

MR. CORY A TEPUS is a healthcare provider. based in Barberton, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. 0032700 (OH). The NPI Number for MR. CORY A TEPUS is 1962101980

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. CORY A TEPUS
NPI
1962101980
Phone
(330) 612-5804
Address
1450 FOREST DR
Enumeration Date
28 February 2023
Last Update Date
15 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9830555671
Group Practice PAC ID
2961303532
Professional Enrollment ID
I20230519002103
Address ID
OH443041619AK525XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MR. CORY A TEPUS

  • 1450 FOREST DR

    BARBERTON, OH 442037636

    Phone: (330) 612-5804

    Type: Mailing

  • 4211 OH-44

    ROOTSTOWN, OH 44272

    Phone: (234) 867-7676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($41).

Total Amount

$160

General + Research + Ownership

Payments

9

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230519002103INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3930$0
99214Established patient office or other outpatient visit, 30-39 minutes3532$0
83036Hemoglobin a1c level1715$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 44203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961303532View full group profile
NameSpecialtyState
Nurse PractitionerGA
-OH
Critical Care (Intensivists)KY
-OH
Family PracticeOH
Family PracticeOH
Cardiovascular Disease (Cardiology)OH
N E P H R O L O G YOH
Nurse PractitionerOH
General SurgeryIL

Reviews

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Frequently asked questions

What is the registry number for MR. CORY A TEPUS?
The registry entry for MR. CORY A TEPUS shows NPI 1962101980.
Quick check: is MR. CORY A TEPUS active?
Public NPPES data shows MR. CORY A TEPUS with an active NPI status right now.
Which specialty label fits MR. CORY A TEPUS?
NPPES ties MR. CORY A TEPUS to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. CORY A TEPUS?
MR. CORY A TEPUS shows a connection to Barberton, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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